Senior Full-Stack Engineer

About the role

Highlight Health is a mission-driven company that protects consumer rights and controls healthcare costs exclusively for self-funded employers and their stop loss carriers. We are a profitable, fast-growing company. We are currently upgrading our core operations into a sophisticated, proprietary Claims Intelligence Platform. This isn't a prototype; it is an innovative system of record handling protected health information (PHI) and generating financial recommendations with real-world legal and economic weight.

We are looking for a Senior Full-Stack Engineer to be a strong, experienced builder on this platform team. We are looking for someone who can pick up complex features independently, mentor less-experienced engineers, and step in to help with code review when the team needs the coverage. Our team is a lean group of domain experts who know healthcare claims deeply, building features in parallel using AI-assisted development as the default way of working, not an occasional convenience.

Responsibilities

• Build features end-to-end across backend services and the React frontend, using AI-assisted development and spec-driven workflows as your primary mode of work.
• Write certain core component logic by hand rather than relying on AI generation, particularly for financial calculations and validation logic that must be deterministic, auditable, and correct.
• Review pull requests with genuine architectural and security judgment, providing backup review coverage alongside our lead engineer as workload requires.
• Mentor less-experienced engineers on the team through pairing and code review.
• Apply sound judgment about when AI-assisted development tools are and aren't appropriate, especially for anything touching sensitive data.
• Escalate architectural decisions with broad impact to the lead engineer or CTO rather than resolving them unilaterally.

Technical stack

• Backend: Python, FastAPI, async SQLAlchemy, Alembic migrations.
• Database: Azure Database for PostgreSQL, row-level security enforced at both application and database layers.
• Infrastructure: Azure Container Apps (dev/staging/prod), Azure Service Bus for async job processing, Azure DevOps CI/CD, Azure Blob Storage.
• Frontend: React SPA for the internal application.
• AI-Assisted Development: agentic coding tools and spec-driven workflows as the team's default; AI-assisted document extraction and OCR pipeline for claims intake.
• Quality: pytest, automated linting, automated module boundary enforcement in CI.

Qualifications

• 5-8 years in full-stack engineering, with real depth in both backend and frontend work.
• Technical depth: Python and PostgreSQL are your core stack in production. You understand async patterns, database-level security, and migration discipline.
• Full-stack capability: you can review a React pull request and catch both structural problems and data exposure risks.
• Real, hands-on experience building with AI-assisted coding tools daily, and good judgment about when to override them.
• Regulated environments: you understand the nuances of working with sensitive data (HIPAA, SOC 2, or PCI) and prioritize audit trails and data access controls.
• Comfortable being a strong senior contributor without needing to be the most senior voice in the room.
• Healthcare or fintech background is a genuine advantage — this platform produces recommendations that affect what employers pay for healthcare.

Benefits

• Competitive salary based on experience.
• Healthcare cost reimbursement.
• Paid time off.
• Commuting benefits.
• Short-term disability.
• Employer 401(k) contribution.
• Bonuses.

Schedule

If you are based in the Philadelphia area, you will have the option of working in-office on a flexible schedule. Remote candidates are welcome, with EST hours preferred.